Neighbourhood Environment Walkability Scale-Abbreviated Research Articles

The Effect of Built Environment on Older People Leisure-Time Walking and Physical Activity in Different Sex Groups in the City of Ningbo, China

The aim of this study was to examine the effect of built environment (BE) elements on older people’s (OP) leisure-time physical activity (LTPA) and leisure-time walking (LTW) level in the city of Ningbo. Older participants numbering 312 were randomly recruited using cross-sectional survey in 2019. International Physical Activity Questionnaire-short version (IPAQ-S) and Neighborhood Environment Walkability Scale—abbreviated (NEWS-A)—were used to gather LTPA data and the perceive scores of BE, respectively. Liner regression analysis was performed to investigate the association relationship between the perceived scores of BE and OP’s LTW and LTPA. The study’s results showed that, when not considering different sex groups, OP’s LTW was significantly related with the perceived scores of access to services (AE, p = 0.045), walking/cycling facilities (W/CF, p = 0.007), aesthetics, and land use mix diversity (LUMD, p = 0.04). OP’s LTPA was significantly related with AE (p = 0.04) and aesthetics (p < 0.001). The association relationships of BE with LTW and LTPA varied in different sex groups. Three elements (AE, W/CF, and LUMD) and one element (pedestrian/traffic safety and P/TS) of BE were found be related with older male and older female’s LTW, respectively. One element (aesthetics) and two elements (aesthetics, LUMD) of BE were found be related with older male and older female’s LTPA, respectively. The results indicated that the effects of BE on OP’s LTW and the effects of BE on OP’s LTPA were different. The effect also varied in different sex groups. More studies are needed to confirm the effect of BE on OP’s LTW and LTPA in different sex groups to globally enrich the scientific data base.

Association between perception of community environment and physical activity in residents in Suzhou

Objective: To estimate physical activity level in residents in Suzhou and explore the association between community environment and physical activity level in local residents. Methods: Through multistage stratified random sampling, residents aged 25-64 years in Suzhou were surveyed by face-to face interview in 2017. Physical activity levels were assessed by the international physical activity questionnaire-long version (IPAQ-L). Perceptions of community environment were assessed by Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A). Results: Among the local residents surveyed in Suzhou,the median of weekly total physical activity level was 3 610.42 MET-min/w. The level of occupational physical activity was higher than that of transportation, household and leisure-time related physical activity levels. After controlling for socio-demographic factors, public service access was negatively associated with the overall physical activity level (OR=0.522,95%CI:0.329-0.830), land-use mix-diversity was negatively associated with the level of occupational physical activity level (OR=0.701,95%CI: 0.492-0.999), infrastructure of walk and cycle ways was positively associated with occupational physical activity level (OR=1.603,95%CI:1.004-2.559); traffic hazards were negatively associated with the transportation physical activity level (OR=0.642,95%CI: 0.416-0.990); residential building density was positively associated with leisure-time physical activity level (OR=1.001,95%CI: 1.000-1.002), and the perceptions level of community environment were positively associated with the occupational, transportation, household and overall physical activity levels (OR=1.889,95%CI: 1.176-3.033;OR=1.671,95%CI: 1.120-2.495;OR=1.775,95%CI: 1.143-2.756;OR=1.593,95%CI: 1.079-2.350). Conclusion: Improving infrastructure of walk and cycle ways and beautifying community environment play an important role in increasing the physical activity level of the residents.

Associations between objectively-measured and self-reported neighbourhood walkability on adherence and steps during an internet-delivered pedometer intervention.

Accumulating evidence suggests that the built environment is associated with physical activity. The extent to which the built environment may support adherence to physical activity interventions is unclear. The aim of this study was to investigate whether the neighbourhood built environment constrains or facilitates adherence and steps taken during a 12-week internet-delivered pedometer-based physical activity intervention (UWALK). The study was undertaken in Calgary (Canada) between May 2016 and August 2017. Inactive adults (n = 573) completed a telephone survey measuring sociodemographic characteristics and perceived neighbourhood walkability. Following the survey, participants were mailed a pedometer and instructions for joining UWALK. Participants were asked to report their daily pedometer steps into the online program on a weekly basis for 12 weeks (84 days). Walk Score® estimated objective neighbourhood walkability and the Neighbourhood Environment Walkability Scale-Abbreviated (NEWS-A) measured participants self-reported neighbourhood walkability. Regression models estimated covariate-adjusted associations of objective and self-reported walkability with: 1) adherence to the UWALK intervention (count of days with steps reported and count of days with 10000 steps reported), and; 2) average daily pedometer steps. On average, participants undertook 8565 (SD = 3030) steps per day, reported steps on 67 (SD = 22.3) of the 84 days, and achieved ≥10000 steps on 22 (SD = 20.5) of the 84 days. Adjusting for covariates, a one-unit increase in self-reported walkability was associated on average with 45.76 (95CI 14.91, 76.61) more daily pedometer steps. Walk Score® was not significantly associated with steps. Neither objective nor self-reported walkability were significantly associated with the UWALK adherence outcomes. The neighbourhood built environment may support pedometer-measured physical activity but may not influence adherence to pedometer interventions. Perceived walkability may be more important than objectively-measured walkability in supporting physical activity during pedometer interventions.

Association between perceived built environment attributes and adults' leisure-time physical activity in four cities of China

Objective: To explore the associations between perceived built environment attributes and adults' leisure-time physical activity in four cities of China. Methods: Multistage cluster random sampling method was used to select adults aged 25 to 64 in Hangzhou, Suzhou, Chengdu, and Qingdao. Data were collected from June 2017 to July 2018. The perception of the urban built environment was assessed by the neighborhood environment walkability scale-abbreviated (NEWS-A), and the physical activity was assessed by the International Physical Activity Questionnaire. Generalized linear mixed models were used to explore the relationship between the perceived built environment and leisure-time physical activities. Results: A total of 3 789 participants were included in the analysis. After adjusting for potential confounders, better access to public services (OR=1.34, 95%CI: 1.02-1.75) and higher aesthetic quality (OR=1.37, 95%CI: 1.09-1.73) were positively associated with the possibility of engaging in leisure-time physical activity in the past week. Similarly, these two attributes were positively associated with leisure-time walking. Higher scores on the perception of street connectivity were positively associated with leisure-time walking [exp(β)=1.09, 95%CI: 1.00-1.19]. Higher residential density [exp(β)=1.000 4, 95%CI:1.000 0-1.000 8], better access to physical activity destinations[exp(β)=1.09, 95%CI: 1.00-1.19], and better aesthetics [exp(β)=1.11, 95%CI:1.00-1.22] were associated with higher leisure-time physical activity. Similarly, these three attributes were positively associated with the possibility of meeting the WHO recommendations. Conclusion: Changing some urban built environment attributes may increase leisure-time physical activity.

The Influence of the Objective and Subjective Physical Neighbourhood Environment on the Physical Activity of Older Adults: A Case Study in the Malaysian Neighbourhoods of Johor Bahru

Physical neighbourhood environments (PNE) can affect the active ageing and physical wellbeing of older residents. This paper examined the PNE objective (PNEO): land use mix entropy, population density, traffic intersection density and distance to facilities; and PNE subjective (PNES): the Neighbourhood Environment Walkability Scale-Abbreviated (NEWS-A): and their relationship with the physical activity (PA) levels of older residents. The PA was measured using an IPAQ questionnaire on 280 older residents in neighbourhoods in the city of Johor Bahru, Johor, Malaysia. Cross-tabulations and correlation analyses were conducted to analyse the significant relationships. It was found that PNEO and PNES in the different housing environments influenced the PA levels of the late middle-aged and young-old adults, that the distance to facilities such as mosques and recreation areas should be less than 200 metres, and that high population density areas in Malaysian neighbourhoods are unsuitable for active ageing lifestyles because of the construction of physical barriers. This research identified the PNEO and PNES indicators for the promotion of an active ageing lifestyle in older residents, which could assist in improving existing housing policies and guidelines on active ageing in Malaysian neighbourhoods.

Residents’ Perceptions of Walkability Attributes in Mainland China: Reliability and Validity

To test the influence of urban built environment on walkability in mainland Chinese cities, this study developed a questionnaire to perceive the residents’ perception of walkability around their neighborhood, which was based on the Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A), and modified to reflect the characteristics of mainland Chinese built environment and people’s behavior mode. To perceive the final version of Neighborhood Environment Walkability Scale for Mainland China (NEWS-MC), We made a pilot study which include 50 samples, then interview 350 residents from 4 selected residential districts in Harbin which were different in walkability attributes and economic status. The final version of the NEWS-MC included 8 subscales and 5 single items (81 items in total). Test-retest reliability showed moderate to high except 1 subscale. In total, the NEWS-MC could illustrate residents’ perceptions of walkability attributes in mainland Chinese cities and could be use in other Chinese urban attributes studies related to walking.

Association between walking time and perception of built environment among urban adults in Hangzhou

To explore the association between walking time and the perception of built environment among local adults in Hangzhou. Through multistage stratified random sampling, a total of 1 440 urban residents aged 25-59 years were surveyed in Hangzhou by face-to face interview in 2012. The international physical activity questionnaire-long version (IPAQ-L) was used to assess the physical activity levels, including walking time in the past week. Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A) was used to obtain information about their perception of built environment. Multiple logistic regression was applied to estimate the relationship between waking and the perception of built environment. Among the local adults in Hangzhou, the median of total physical activity was 2 766 met·min⁻¹·week⁻¹, the average walking time per week was 90 min for leisure and 100 min for transportation respectively. After controlling the age, marital status, BMI, educational level, employment, community type and the total PA scores, the leisure-time walking was negatively related to the accessibility to stores, facilities and other things for both man (OR=0.764, 95% CI: 0.588-0.992) and woman (OR=0.633, 95% CI: 0.481-0.833). In sex specific analysis, the leisure-time walking was negatively related with the residential density (OR=0.997, 95% CI: 0.996-0.999) while transportation related walking was positively related with walking/cycling way scores (OR=1.537, 95% CI: 1.138-2.075) in females. In contrast, there were no significant associations between perception of built environment and transportation related walking in males. Improving the built environment, such as the walking/cycling way, might be useful to increase the transportation related walking time for adults. The sex specific differences need to be considered in the environment intervention for walking promotion.

Associations of walking behaviours with environmental correlates in a sample of Polish adolescents

F Salonna, J Mitas, K Fromel, D Groffik Institute of active lifestyle, Faculty of Physical Culture, Palacký University, Olomouc, Czech Republic The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland Contact: ferdinand.salonna@upol.cz Walking has been identified as one of forms of physical activity not to show a significant decrease in participation levels during transition from the primary to secondary school, thus it is meaningful to invest to walking behaviour promotion, especially in times when level of sedentary behaviours of adolescents steadily growing. This study investigated the relation of adolescents walking behaviour to neighbourhood design and recreational environmental design. Methods This study is based on cross-sectional analyses of self-reported survey data. The sample consisted of 942 Polish adolescents (44.9% boys; mean age 15.8). Self-completion questionnaires were administered in classroom at randomly selected schools in Silesia and Malopolska Provinces (south Poland) during late 2012 and beginning of 2013. To measure the neighbourhood design and recreational environmental variables, modified version of Neighbourhood Environment Walkability Scale Abbreviated (NEWS-A) was used. To quantify the walking behaviour a part of International Physical Activity Questionnaire (IPAQ) was used. To assess the relation of adolescents walking behaviour to neighbourhood and environmental variables logistical regression models were computed separately for both genders stratified by degree of urbanization. Results Regression analyses showed that environmental variables were related to walking behaviours. Walking for transport was more prevalent in highly urbanized areas compared to areas with low degree of urbanisation. No association between recreational walking and degree of urbanisation was found. Walking for transport was associated with Land-use mix, Access to services and Walking/cycling facilities. Recreational walking was associated with Aesthetics, Street connectivity and Land-use mix. Conclusions Walking behaviours may take different forms depending on socio-demographic factors (e.g. age, gender or geographical location). Public health interventions need to adapt to match the variety of opportunities for walking. Key messages Walking behaviours may take different forms depending on socio-demographic factors. Public health interventions need to adapt to match the variety of opportunities for walking. It is meaningful to invest to walking behaviour promotion, especially in times when level of sedentary behaviours of adolescents steadily growing.

The Effect of Active Transport, Transport Systems, and Urban Design on Population Health

The Effect of Active Transport, Transport Systems, and Urban Design on Population Health

Association between Physical Activity and Neighborhood Environment among Middle-Aged Adults in Shanghai

Objective. To determine the perceived neighborhood environment (NE) variables that are associated with physical activity (PA) in urban areas in China. Methods. Parents of students at two junior high schools in Shanghai, one downtown and the other in the suburbs, were recruited to participate in the study. They completed an International Physical Activity Questionnaire (IPAQ) and Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A) survey. Participant physical activity was also objectively measured using accelerometers. Results. Participants from downtown areas were more positively associated with transportation PA and leisure-time PA than respondents living in the suburbs. Residential density was found to be a significant positive predictor of recreational or leisure-based PA. Street connectivity was negatively associated with leisure time PA for respondents. Moderate-vigorous PA was found to be negatively associated with traffic safety. There were no significant associations between environmental factors and transportation PA. Women had higher levels of moderate-vigorous PA than men. Conclusions. The results of this study demonstrate that residential density, street connectivity, and traffic safety have a significant impact on Chinese middle-aged adults' PA, suggesting urban planning strategies for promoting positive public health outcomes.

Evaluating a Brief Self-Report Measure of Neighborhood Environments for Physical Activity Research and Surveillance: Physical Activity Neighborhood Environment Scale (PANES)

Neighborhood environment attributes of walkability and access to recreation facilities have been related to physical activity and weight status, but most self-report environment measures are lengthy. The 17-item PANES (Physical Activity Neighborhood Environment Scale) was developed to be comprehensive but brief enough for use in multipurpose surveys. The current study evaluated test-retest and alternate-form reliability of PANES items compared with multi-item subscales from the longer NEWS-A (Neighborhood Environment Walkability Scale--Abbreviated). Participants were 291 adults recruited from neighborhoods that varied in walkability in 3 US cities. Surveys were completed twice with a 27-day interval. Test-retest ICCs for PANES items ranged from .52 to .88. Spearman correlations for the PANES single item vs NEWS-A subscale comparisons ranged from .27 to .81 (all P < .01). PANES items related to land use mix, residential density, pedestrian infrastructure, aesthetic qualities, and safety from traffic and crime were supported by correlations with NEWS-A subscales. Access to recreation facilities and street connectivity items were not supported. The brevity of PANES allows items to be included in studies or surveillance systems to expand knowledge about neighborhood environments.

Reliable and valid NEWS for Chinese seniors: measuring perceived neighborhood attributes related to walking

BackgroundThe effects of the built environment on walking in seniors have not been studied in an Asian context. To examine these effects, valid and reliable measures are needed. The aim of this study was to develop and validate a questionnaire of perceived neighborhood characteristics related to walking appropriate for Chinese seniors (Neighborhood Environment Walkability Scale for Chinese Seniors, NEWS-CS). It was based on the Neighborhood Environment Walkability Scale - Abbreviated (NEWS-A), a validated measure of perceived built environment developed in the USA for adults. A secondary study aim was to establish the generalizability of the NEWS-A to an Asian high-density urban context and a different age group.MethodsA multidisciplinary panel of experts adapted the original NEWS-A to reflect the built environment of Hong Kong and needs of seniors. The translated instrument was pre-tested on a sample of 50 Chinese-speaking senior residents (65+ years). The final version of the NEWS-CS was interviewer-administered to 484 seniors residing in four selected Hong Kong districts varying in walkability and socio-economic status. Ninety-two participants completed the questionnaire on two separate occasions, 2-3 weeks apart. Test-rest reliability indices were estimated for each item and subscale of the NEWS-CS. Confirmatory factor analysis was used to develop the measurement model of the NEWS-CS and cross-validate that of the NEWS-A.ResultsThe final version of the NEWS-CS consisted of 14 subscales and four single items (76 items). Test-retest reliability was moderate to good (ICC > 50 or % agreement > 60) except for four items measuring distance to destinations. The originally-proposed measurement models of the NEWS-A and NEWS-CS required 2-3 theoretically-justifiable modifications to fit the data well.ConclusionsThe NEWS-CS possesses sufficient levels of reliability and factorial validity to be used for measuring perceived neighborhood environment in Chinese seniors. Further work is needed to assess its construct validity and generalizability to other Asian locations. In general, the measurement model of the original NEWS-A was generalizable to this study context, supporting the feasibility of cross-country and age-group comparisons of the effect of the neighborhood environment on walking using the NEWS-A as a tool to measure the perceived built environment.